Provider Demographics
NPI:1275636599
Name:CHINEN, DEANE MICHIKO (PT)
Entity Type:Individual
Prefix:MRS
First Name:DEANE
Middle Name:MICHIKO
Last Name:CHINEN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MS
Other - First Name:DEANE
Other - Middle Name:CHINEN
Other - Last Name:MAYESHITO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:405 N KUAKINI STREET
Mailing Address - Street 2:SUITE 1101
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817
Mailing Address - Country:US
Mailing Address - Phone:808-536-3072
Mailing Address - Fax:808-536-5082
Practice Address - Street 1:405 N KUAKINI STREET
Practice Address - Street 2:SUITE 1101
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817
Practice Address - Country:US
Practice Address - Phone:808-536-3072
Practice Address - Fax:808-536-5082
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2008-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI1603225100000X
HIPT-1603225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist